TERRY J WISECARVER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004885

License Status

INACTIVE

Business

First Name

TERRY J

Last Name

WISECARVER

Business Name

TERRY J WISECARVER

Original Issue Date

03/23/1995

Expiration Date

11/30/1997

City

EDELSTEIN

State

Zip

61526

County

PEORIA

Ever Disciplined

LastModifiedDate

05/27/2005